Microsurgical resection of juxtafacet cysts without concomitant fusion-Long-term follow-up of 74 patients.
作者信息
Scholz Christoph, Hubbe Ulrich, Kogias Evangelos, Roelz Roland, Klingler Jan-Helge
机构信息
Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, D-79106 Freiburg, Germany.
Department of Neurosurgery, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Breisacher Str. 64, D-79106 Freiburg, Germany.
出版信息
Clin Neurol Neurosurg. 2017 Feb;153:35-40. doi: 10.1016/j.clineuro.2016.12.008. Epub 2016 Dec 16.
OBJECT
We report on our experience with treating juxtafacet cysts focusing on clinical outcome, rate of recurrence and secondary surgery, especially fusion.
METHODS
This retrospective study evaluates patients who underwent surgical resection of juxtafacet cysts without concomitant fusion from 2002 to 2013 with a minimum follow-up of one year.
RESULTS
Complete follow-up is available in 74 patients. Mean follow-up in all 74 patients was 69±34months (range, 14-140 months). Mean ODI was 14.9%. 68 patients (91.9%) were pleased with the results and would undergo surgery again. Three patients (4.1%) underwent secondary resection because of cyst recurrence at the same site. Four patients (5.4%) needed secondary fusion.
CONCLUSIONS
In patients without evident clinical and radiological criteria of instability we regard surgical resection of juxtafacet cysts without concomitant fusion as adequate primary treatment due to good outcome and low incidence of secondary symptomatic instability.
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